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NPI Code Detail

MEDICARE: ANTHONY BIECK M.D.

MEDICARE: ANTHONY BIECK M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician04-48852KS
2207Q00000XFamily Medicine Physician2023010407MO
3207Q00000XFamily Medicine Physician31141NE

General Provider Information

NPI Number : 1053847178
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY BIECK M.D.
Provider Business Mailing Address
First Line : 2800 CLAY EDWARDS DRIVE,
Second Line : CENTRAL VERIFICATION OFFICE AND PAYOR ENROLLMENT
City : NORTH KANSAS CITY
State : MO
Zip : 64116
Country : US
Telephone Number : 816-453-0900
Fax Number : 816-218-1518
Provider Business Practice Location Address
First Line : 5400 N OAK TRFY STE 200
Second Line :
City : KANSAS CITY
State : MO
Zip : 64118-4690
Country : US
Telephone Number : 816-453-0900
Fax Number : 816-218-1518
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2017
Last Update Date : 12/02/2025

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